Novel laser positioning navigation to aid puncture during percutaneous nephrolithotomy: a preliminary report.

Abstract:

PURPOSE:Accurate puncture of the renal collecting system is crucial to the success of percutaneous nephrolithotomy and presents a technical challenge for urologists. Here, we introduced the Surgical Approach Visualization and Navigation (SAVN) system, a novel navigation system to assist puncture and reduce intraoperative radiation. MATERIALS AND METHODS:Twenty kidneys of 10 cadavers were randomly divided into two groups for renal calyx puncture. In the control group, traditional fluoroscopy was used for guidance, while SAVN system was used in the experimental group. Puncture duration, number of puncture attempts, total number of intraoperative fluoroscopies, and number of fluoroscopies during the puncture procedure were recorded. RESULTS:The puncture duration was 14.2 ± 2.5 s in SAVN group and 48.3 ± 7.1 s in conventional group (P < 0.05). One puncture attempt was needed for successful puncture in SAVN group, while more than one in conventional group (P = 0.28). The total number of intraoperative fluoroscopies was 3.3 ± 1.0 in SAVN group and 14.5 ± 3.1 in control group (P < 0.05),while the number of fluoroscopies during the puncture procedure was 0 and 11.2 ± 2.4, respectively (P < 0.05). CONCLUSIONS:The novel SAVN system has a simplified structure and is easy to use. It can be used to successfully assist with puncture of the renal calyx, thus reducing puncture duration and radiation dose.

journal_name

World J Urol

journal_title

World journal of urology

authors

Wu J,Zhou P,Luo X,Hao Z,Lu C,Zhang H,Zhou T,Xu S

doi

10.1007/s00345-018-2496-z

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

1189-1196

issue

6

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-018-2496-z

journal_volume

37

pub_type

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